4AZ-69752-23821
3 vaccinations
6 coded responses
11 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 730 / OK
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-02-25
Dose 2 — Moderna
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2021-02-26
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I have RA and this is making the constant pain I have worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: Swollen and sore limp nodes under arm where I received my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Limp nodes still swollen and soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Nasal congestion, Oral pain, Rhinalgia — Feeling: Good · Fatigue or tirednessFree text: Limp nodes under arm still swollen. Also side of neck on side where received the shot. And now sore in roof of mouth and one side of my nose is swollen in the opening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Oral herpes — Feeling: GoodFree text: Still have swollen limp nodes and something like cold sirs in my nose and mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Infection, Lymph node pain — Feeling: GoodFree text: Limp nodes a little sore still but swelling has gone down. Infection in nose is still ongoing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-26
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2021-10-25
Dose 3 — Moderna
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have RA and this is making the constant pain I have worse.
Systemic reaction (other): Swollen and sore limp nodes under arm where I received my shot
Systemic reaction (other): Limp nodes still swollen and sore
Systemic reaction (other): Limp nodes under arm still swollen. Also side of neck on side where received the shot. And now sore in roof of mouth and one side of my nose is swollen in the opening.
Systemic reaction (other): Still have swollen limp nodes and something like cold sirs in my nose and mouth.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Limp nodes a little sore still but swelling has gone down. Infection in nose is still ongoing.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Infection | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Rhinalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release